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MS. JO ANNE CANADA CRNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1215057807

Individual Registrant:
MS. JO ANNE  CANADA CRNP
Gender: F
Sole Proprietor

Location and contact information for practice:
1300 S MONTGOMERY AVE  SHEFFIELD, AL 35660-6334 US
Tel: 256-386-4681  Fax: 256-386-4682

Contact information for business:
1410 GOLDRIDGE DR SW  DECATUR, AL 35603-2416 US
Tel: 256-353-1453  Fax: --

Registration Information:
NPI: 1215057807
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1-030913

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AL - Page 1



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